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The 2019 Medicare Advantage Plans in Kent County DE.
2017 Medicare Advantage Plans in Kent County Delaware
There are 5 Medicare Advantage Plans available in Kent County DE from 3 health insurance providers and 2 Special Needs Plans available. 5 Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $6700 and the highest out of pocket is $6700.
The highest rated plan available in Kent County received a 4 overall star rating from CMS and the lowest rated plan is 3.5 stars.
(Click the Plan Name for More Details)
| Name | Monthly Premium C+D |
Part D Deductible |
Type | Gap | Max Out of |
Overall Rating | Formulary |
| Aetna Medicare Choice Plan (HMO) (H3931-104) |
$0.00 | $0.00 | Local HMO | Yes | $6,700 | Browse Formulary | |
| Aetna Medicare Premier Plan (PPO) (H5521-095) |
$113.00 | $0.00 | Local PPO | Yes | $6,700 | Browse Formulary | |
| Aetna Medicare Standard Plan (HMO) (H3931-102) |
$78.00 | $0.00 | Local HMO | Yes | $6,700 | Browse Formulary | |
| Humana Gold Plus H6622-010 (HMO) (H6622-010) |
$27.00 | $280.00 | Local HMO | Yes | $6,700 | Browse Formulary | |
| HumanaChoice H6609-102 (PPO) (H6609-102) |
$72.00 | $400.00 | Local PPO | Yes | $6,700 | Browse Formulary | |
| Return to 2017 Medicare Advantage Plans in Delaware |
* Plan Type does not offer Medicare Part D drug coverage.
Medicare Special Needs Plans in Kent county Delaware
| Plan Name | Monthly Consolidated Premium C+D |
Part D Deductible |
Gap | Special Needs Type |
Overall Rating | |
| UnitedHealthcare Assisted Living Plan (PPO SNP) (H2228- 012) |
$16.70 | $105.00 | No | Institutional | Browse Formulary | |
| UnitedHealthcare Nursing Home Plan (PPO SNP) (H2228- 010) |
$33.20 | $400.00 | No | Institutional | Browse Formulary |
Plan Type Is the type of organization offering the Medicare Plans.
- HMO - Health Maintenance Organization
- PPO - Preferred Provider Organization
- PDP - Prescription Drug Plan
- SNP - Special Needs Plan
- POS - Point of Service
- PFFS - Private Fee For Service
Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.
Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.
Benefit Type(EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of “generic” formulary products with coverage above standard "generic" coverage gap cost-sharing benefit and/or the percentage of “brand” formulary products covered in addition to the coverage gap discount for applicable drugs.
GAP
In 2017 once you and your plan provider have spent $3700 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 40% of the plans cost for covered brand-name prescription drugs and 51% on generic drugs unless your plan offers additional coverage.
Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable
Source: CMS.
Data as of September 6, 2016.
Plans are subject to change as contracts are finalized.
Includes 2017 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2017, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.
